Common Musculoskeletal abnormalities
Images provided by Dr John Robinson. Review his powerpoint presentation from home page.
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Arthritis: Inflammation of the joint. Implies presence of warmth, swelling, heat, tenderness and erythema.
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Fracture and dislocation can occur with any bone or joint
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Splinting and casting
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Shoulder
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Rotator cuff tear
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Calcific tendonitis
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Bursitis
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Dislocation
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Arthritis
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Elbow
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Tennis elbow/ Golf elbow/ Epicondylitis
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Olecrenon bursitis
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Pediatric supracondylar humerus fractures
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Arthritis
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Rheumatoid nodule: A subcutaneous or subperiosteal nodule found on the extensor surface of forearm and elbow.
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Wrist
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Carpal tunnel syndrome
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DeQuevains Tenosynovitis
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Wrist ganglions: Cystic enlargement arising from joint capsules and tendon sheaths.
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Colles fracture
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Arthritis
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Interphalangeal joints
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Rheumatoid arthritis
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Swan neck deformity
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Boutonniere deformity: A characteristic deformity found in rheumatoid arthritis, which includes a flexion contracture of the proximal phalangeal joint associated with hyperextension of the distal interphalangeal joint.
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Ulnar deviation: Fingers drift inward at the MCP joints
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Synovial thickening: Palpable thickening of synovial membrane.
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Dupuytren's contracture
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Osteoarthritis
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Gout
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Tophi: A collection of monosodium urate crystals, palpable beneath the skin.
- Psoriatic arthritis
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Sclerodactyly
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Tendon injuries
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Boxers fracture
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Fingertip injuries
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Hyper mobile joints (Ehler-Danlos Syndrome)
You can anticipate deformity, swelling, fluid in joint, tenderness and altered range of motion to varying degrees in these musculoskeltal abnormalities.
You should record for each joint Swelling (S), Tenderness (T) and Loss of motion (L) using a rating scale.